SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

The Provider must deliver appropriate and responsive care to all children. This must be in
accordance with the standards set out in the Children Act 2004, National Service Framework
for Children and any local protocol within North West London Health economy.
Children under the age of 2 years suitable for the UCC will be seen by a suitably qualified
clinician.
All UCC staff must:
o Have relevant professional registration, indemnity and have undergone enhanced
Criminal Record Bureau checks.
o All staff caring for children shall have appropriate paediatric experience, including
core paediatric competencies.
o Know who to contact for advice on child protection matters at all times.
For children and young people, the episode of care should be communicated to their health
visitor or school nurse no later than 8am on the second working day following the child or
young person‟s episode of care.
Mental Health care delivery
Mental Health presentations account for at least 20% of primary care attendances 2 . UCCs
should have 24/7 direct access to Psychiatric Liaison Team.
On the assumption that liaison psychiatry teams are funded beyond 2013, local psychiatric
liaison teams will be responsible for ensuring consistent levels of cover for both co-located
and non co-located UCCs. With regard to non co-located UCCs, this responsibility may
devolve to the Mental Health Crisis Team if one is available on-site.
All UCCs will have access to a Mental Health assessment room that is compliant with the
relevant Royal College of Psychiatrists safety standards 3
Transfer to/from UCC
Following clinical streaming to the UCC any patient found, on detailed examination, to require
more complex care will be referred directly to the ED.
A „Patient Transfer‟ protocol for establishing an appropriate time to transfer patients between
services should be agreed between the Provider and hospital Trust prior to service
commencement. Please see Figure 7.40 for a generic UCC to ED transfer protocol. This
protocol should adapted to reflect local needs and processes.
This protocol will support both services in delivering the 4 hour Standard. To this end, the
protocol should comply with Healthcare for London guidance that all transfers should take
place within 60 minutes of presentation. The four hour clinical standard will commence from
the patients arrival to the UCC and NOT from the time of their transfer.
As part of this process the patient‟s details will be transferred from the UCC clinical system to
the ED IT system by staff without the need for the patient to re-register.
7.14.5 Commissioning arrangements for liaison psychiatry
NW London psychiatric liaison teams are commissioned to support both EDs and UCCs. It is
anticipated that this will continue post reconfiguration.
On the assumption that liaison psychiatry teams are funded beyond 2013, local psychiatric
liaison teams will be responsible for ensuring consistent levels of cover for both co-located
and non co-located UCCs. With regard to non co-located UCCs, this responsibility may
devolve to the Mental Health Crisis Team if one is available on-site. Psychiatric liaison teams
offer 24/7 support to UCCs in the following ways:
2 „Guidance for commissioning integrated urgent and emergency care. A „whole system‟ approach‟ – Dr Agnelo
Fernandes; RCGP Centre for Commissioning; August 2010
3 “Psychiatric services to accident and emergency departments; Council Report CR118, Feb 2004”
7b. Work of the Emergency and Urgent Care CIG 161